Provider Demographics
NPI:1548667728
Name:CHATTING CHILDREN SPEECH AND LANG CENTER
Entity type:Organization
Organization Name:CHATTING CHILDREN SPEECH AND LANG CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:COTTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:202-486-1411
Mailing Address - Street 1:22920 BOLLINGER TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-1733
Mailing Address - Country:US
Mailing Address - Phone:202-486-1411
Mailing Address - Fax:
Practice Address - Street 1:22920 BOLLINGER TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-1733
Practice Address - Country:US
Practice Address - Phone:202-486-1411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006936235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty